DR. DANIEL S. KIRSCHENBAUM (NPI# 1295824860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295824860 |
Entity Type | Individual |
Full Name | DR. DANIEL S. KIRSCHENBAUM |
Credential | PH.D. |
Practice Address |
1665 Highway 34 E Ste 100 Newnan GA 30265-2404 |
Practice Telephone | 7705146760 |
Mailing Telephone | 7705146760 |
Enumeration Date | 2006-10-12 |
Last Update Date | 2017-03-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY003655 | GA | Behavioral Health & Social Service Providers |
Street Address |
1665 HIGHWAY 34 E STE 100 |
City | NEWNAN |
State | GA |
Zip Code | 30265-2404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114994605 | Kent B Remley | Radiology | 1665 Highway 34 E, Suite 100, Newnan, GA 30265-2404 | 2006-03-02 |
1952768798 | Sarah Winston | Physician Assistant | 1665 Highway 34 E, Suite 100, Newnan, GA 30265-2403 | 2016-01-25 |
1932524519 | Sapient Labs, Inc | Clinical Medical Laboratory | 1665 Highway 34 E, Newnan, GA 30265-2403 | 2014-02-19 |
1922433408 | Care Plus Pharmacy LLC | Pharmacy | 1665 Highway 34 E, Suite 100, Newnan, GA 30265-2403 | 2013-09-04 |
1225378276 | White Oak Surgery Center | Clinic/Center | 1665 Highway 34 E, Suite 200, Newnan, GA 30265-2403 | 2013-02-27 |
1962773820 | Georgia Pain and Spine Care, Inc | Pain Medicine | 1665 Highway 34 E, Suite 100, Newnan, GA 30265 | 2012-01-24 |
1790056083 | Better Health Anesthesia Group | Anesthesiology | 1665 Highway 34 E, Suite 100, Newnan, GA 30265-1325 | 2012-01-19 |
1851684245 | Sandeep Vaid | Physical Medicine & Rehabilitation | 1665 Highway 34 E, Suite 100, Newnan, GA 30265 | 2011-05-18 |
1730229147 | William E. Macke | Social Worker | 1665 Highway 34 E, Suite 100, Newnan, GA 30265-2403 | 2007-02-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
Find all providers in zip 30265 |
Taxonomy Code | 103TB0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Cognitive & Behavioral |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457399966 | Janet Gaffney | Psychologist | 121 Jackson St, Newnan, GA 30263-1572 | 2006-06-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215403340 | Camino Psychological Services, LLC | Psychologist | 2450 Atlanta Hwy Ste 1903, Cumming, GA 30040-1237 | 2018-10-16 |
1790299386 | Marcus Dawson | Psychologist | 498 Hudgeons Rd, Warrenton, GA 30828-5444 | 2017-11-19 |
1992245732 | Cynthia Anita Hucks-smith | Psychologist | 5012 Paulsen St., Bldg 7, Savannah, GA 31405-4624 | 2017-02-27 |
1720483340 | Jessica Haley Geddes | Psychologist | 595 Wimbledon Rd Ne, Atlanta, GA 30324-4965 | 2014-10-24 |
1366847097 | Lydia Odenat | Psychologist | 1640 Powers Ferry Rd Se Bldg 18-250, Marietta, GA 30067-9461 | 2014-10-23 |
1801145354 | Richard M Anderson | Psychologist | 21 Windsor On The Marsh, Savannah, GA 31419-2409 | 2012-08-30 |
1023341518 | Christine R Petro, Psy.d., LLC | Psychologist | 69 Grayson New Hope Rd, Grayson, GA 30017 | 2009-09-15 |
1982879425 | Sara Michelle Velez | Psychologist | 645 Hembree Pkwy Ste A, Roswell, GA 30076-3868 | 2008-04-25 |
1033394820 | Mark Gilson Phd PC | Psychologist | 1772 Century Boulevard, Ne, Atlanta, GA 30345-3396 | 2007-12-31 |
1316159569 | Paul Lavere Fair | Psychologist | 3580 Piedmont Road, Suite 220, Atlanta, GA 30305-1506 | 2007-05-03 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.